It’s Not Just Drugs and Rock and Roll

JOHN SHUFELDT, MD, JD, MBA, FACEP The one thing I have left out has been… well…sex. Sex has over the years I have attempted to cover it all. Drugs, rock and roll, BFRF (big F-ing red flag), airplane crashes, you name it. Sex has always been a challenging and awkward subject or me. In fact, I cried the first time I had sex—thank God I was alone. Anyway, speaking of God, my challenges with this subject …

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‘Why Can’t We All Get Along?’

JOHN SHUFELDT, MD, JD, MBA, FACEP It’s not often you get to quote the late Rodney King, but there it is. Mr. King’s quote was made famous during the Los Angeles riots, which were arguably incited by the acquittal of the police officers accused of excessive force during Mr. King’s arrest. In 1860, a book review on medico-legal jurisprudence argued that “law and medicine had evolved into mutually incompatible professions.”1 One hundred and sixty-two years …

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What You Don’t Know

JOHN SHUFELDT, MD, JD, MBA, FACEP In the late 1970s I read a book by Samuel Shem called The House of God. The book is about an intern in a New York hospital during his first year of residency. His senior resident, “The Fat Man,” coins a number of laws about surviving residency. One of them—“If you don’t take a temperature you can’t find a fever”—can be extrapolated to all sorts of questions, tests, and …

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What Does Obamacare Mean for the Urgent Care Industry?

JOHN SHUFELDT, MD, JD, MBA, FACEP Chief Justice Roberts, writing for the majority, published the Supreme Court’s decision in National Federation of Independent Business v Sebelius on June 28, 2012. With a few exceptions, the decision upheld the bulk of the Patient Protection and Affordable Care Act (PPACA), also known as Obamacare. In the next few paragraphs I will attempt to make some sense out of the ruling and how, if applicable, it applies to …

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DUI: Rules of the Road

JOHN SHUFELDT, MD, JD, MBA, FACEP Oh crap! The flashing red lights illuminating the interior of Eric’s car snapped him back to reality. He had lived through a tough year – passed his family medicine boards, finished residency, separated from his wife and ultimately went through a contentious divorce. Eric’s first post-graduate job ended poorly after he was caught up in owner infighting and left as the practice he joined dissolved. Suffice it say, Eric …

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